Metabolic management. Nutritional therapy, individually tailored based on the pre-pregnancy BMI. Exercise therapy. Insulin therapy, if the metabolic goals fail to be achieved. Educational therapy. Metabolic surveillance: SMBG – 4 times daily (6–8) in fasting and 1h postprandial. A1c performed each 4–6 weeks ? Obstetric. Daily fetal mouvements counts after 36 weeks. Nonstress test weekly, after the 36 weeks. Ultrasound each for 4–6 weeks after the diagnosis of GDM. Delivery. Vaginal at 38–40 wk, unless macrosomia and/or obstetric or other fetal distress. Portuguese Consensus Report on Diabetes and Pregnancy. SPEDM. 2ª Edition Adapted from the Proceedings of the 4th International Workshop-Conference on GDM. Diabetes Care, 21, 1998.